EDITH MARIE PRENDERGAST (NPI# 1417436817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417436817 |
| Entity Type | Individual |
| Full Name | EDITH MARIE PRENDERGAST |
| Credential | NP |
| Practice Address |
530 1st Ave Ste 10q New York NY 10016 |
| Mailing Address |
530 1st Ave Ste 10q New York NY 10016-6402 |
| Practice Telephone | 2122637021 |
| Mailing Telephone | 2122637021 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
343402 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
530 1ST AVE STE 10Q |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770856940 | Erin M Conroy | Obstetrics & Gynecology | 530 1st Ave Ste 10q, New York, NY 10016-6402 | 2012-02-17 |
| 1871943837 | Lisa Katherine Theobald Shanahan | Obstetrics & Gynecology | 530 1st Ave Ste 10q, New York, NY 10016-6402 | 2016-06-20 |
| 1942655832 | Valini Gosine | Obstetrics & Gynecology | 530 1st Ave Ste 10q, New York, NY 10016-6402 | 2016-04-28 |
| 1306208657 | Shirley Mei | Obstetrics & Gynecology | 530 1st Ave Ste 10q, New York, NY 10016-6402 | 2016-03-25 |
| 1982081873 | Olivia Paige Myrick | Obstetrics & Gynecology | 530 1st Ave Ste 10q, New York, NY 10016-6402 | 2015-04-30 |
| 1083032221 | Amanda Miller Silbermann | Obstetrics & Gynecology | 530 1st Ave Ste 10q, New York, NY 10016 | 2014-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726540 | Alison Anne Avallone | Nurse Practitioner | 425 E 80th St Apt 6d, New York, NY 10075-0613 | 2020-10-08 |
| 1194331199 | Katie Ann Felter | Nurse Practitioner | 144 E 36th St Apt 8b, New York, NY 10016-3517 | 2020-09-16 |
| 1407462492 | Alexandra Moench | Nurse Practitioner | 225 W 23rd St Apt 5s, New York, NY 10011-2300 | 2020-09-16 |
| 1770193237 | Lenka Varekova | Nurse Practitioner | 242 E 5th St Apt 3, New York, NY 10003-8501 | 2020-08-08 |
| 1184234817 | Hyun Gyeong Im | Nurse Practitioner | 435 W 46th St Apt 2re, New York, NY 10036-9085 | 2020-08-06 |
| 1942822507 | Busime Mimy Mudekereza | Nurse Practitioner | 1885 Adam Clayton Powell Jr Blvd Apt 2c, New York, NY 10026-2892 | 2020-05-17 |
| 1366061376 | Christine Go Np In Family Health PC | Nurse Practitioner | 315 Madison Ave Ste 1200, New York, NY 10017-5441 | 2020-04-09 |
| 1427687151 | Ken Chuan Michael Chan | Nurse Practitioner | 110 Madison Ave Apt 10, New York, NY 10016-7486 | 2020-04-04 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
| 1013541275 | Albina Guzman | Nurse Practitioner | 226 5th Ave Fl 6, New York, NY 10001-7706 | 2020-02-26 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.